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Individual

MRS. ANGELA BUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A. CCC/SLP

Contact information

Practice address
612 E BETHANY DR, ALLEN, TX 75002-4050
(214) 735-4198
Mailing address
5807 BRACKNELL DR, ALLEN, TX 75002-5474
(214) 735-4198

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18405
TX

Other

Enumeration date
01/07/2022
Last updated
01/07/2022
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